Request Form - Onsite Demo | Blue Ocean Robotics

YOUR INFO

Your Name

Sales Territory

CLIENT INFO

Client Status

Prospect

New

Existing

Account Type

Direct Customer

Reseller

Through Customer

TRANSACTION INFO

Transaction Type

Onsite Demo

Transaction Terms

Paid Service

Free Service

Priority

Normal

URGENT

Product Line

UVD Model C

UVD Pharma

PTR Robot

Start date

End date

PRODUCT DELIVERY

Delivery Address

IMPORTANT! Enter a member from the shipping/receiving department. Do not enter your name unless you will be onsite to collect the delivery of the unit on behalf of the prospect.

Delivery POC Name

Delivery POC Email

Delivery POC Phone

Deliver by Date
The latest date the item can be delivered

Special Delivery Instructions

Special Considerations

Sales Support

Onsite Demo Request

Request Details